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The transtheoretical model has been used as a model of behavior change for tobacco users. However, it does not account for perceptions of past behavior that may provide additional guidance toward smoking cessation. No studies have examined associations between the transtheoretical model, content themes of smoking experiences, and counterfactual thoughts (i.e. "If only. . .then. . ."). Mturk participants ( = 178; 47.8% female) completed measures of smoking attitudes, behavior, and stage and processes of change use. Participants described a past negative smoking event and an event-related counterfactual thought-listing task. Participants in the precontemplation stage endorsed fewer processes of change. Also, participants in the action stage reported significantly more counterfactuals about cravings (e.g. If only I could have controlled my urge to smoke. . .) inferring that they may be identifying cravings or urges as relevant barriers toward smoking cessation. Identifying these self-relevant thoughts may provide additional ways to address and overcome barriers toward achieving long-term smoking cessation.
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http://dx.doi.org/10.1177/13591053231157218 | DOI Listing |
Medicine (Baltimore)
September 2025
Department of Obstetrics, Nantong University Affiliated Maternal and Child Health Hospital, Nantong, Jiangsu, China.
This study aimed to evaluate the association between a dietary education approach grounded in the transtheoretical model and cognitive load theory and glycemic control and pregnancy-related outcomes in patients diagnosed with gestational diabetes mellitus (GDM). A retrospective analysis was performed using clinical data from 126 pregnant women with GDM who received care at our hospital between September 2021 and September 2023. Participants were grouped based on the type of nursing intervention received: a control group that underwent standard care and an observation group that received an additional cognitive load-informed dietary education program based on transtheoretical model.
View Article and Find Full Text PDFMotiv Sci
January 2025
University of Bern, Berne, Switzerland.
The Transtheoretical Model of Health Behavior Change (TTM) is a leading theoretical framework of motivation for healthful lifestyle modification and has been employed nationally and internationally within the civilian sector for decades. The TTM has demonstrated effectiveness in reducing the public health burden related to various chronic diseases that are largely preventable through successful health behavior change intervention. Because the VA healthcare system (VA) is committed to providing quality care to Veterans who, all too often, suffer from complex physical and psychological comorbidities, it is critical to reduce Veterans' unhealthy behaviors while also helping them adopt and sustain adaptive health behaviors.
View Article and Find Full Text PDFFront Public Health
September 2025
Department of Clinical Nutrition, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: Little is known about the association between types of skin and subcutaneous diseases and UV protection literacy.
Objective: To assess the burden and treatment of skin diseases in Ninger County, Yunnan Province, and establish a transtheoretical model for optimizing public perceptions and behaviors regarding UV radiation.
Methods: Electronic medical records of outpatients from the dermatology department were collected from January 2022 to July 2024, and a self-administered questionnaire assessed the public knowledge about UV exposure risks and behaviors.
BMC Public Health
August 2025
National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.
Background: Manual handling injuries, particularly musculoskeletal disorders (MSDs), are a leading occupational health concern for Emergency Medical Technicians (EMTs) globally, including Taiwan. Lower back injuries are prevalent, often resulting from labor-intensive patient-handling techniques. Despite their critical role, limited training, cultural barriers, and underreporting exacerbate these risks, necessitating targeted interventions.
View Article and Find Full Text PDFNutrients
August 2025
Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China.
To examine the association between stages of exercise behavior change, as defined by the transtheoretical model (TTM), and obesity progression among Chinese children and adolescents, with attention to gender and urban-rural differences. A total of 5006 Chinese children and adolescents aged 9-18 years were assessed in 2019 and followed up in 2020. Participants were categorized into five TTM stages: precontemplation, contemplation, preparation, action, and maintenance.
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